VA263-17-R-1094-008.xlsx

XLSX spreadsheet 12 KB Posted Jul 10, 2018

Attached to: FY2018 NH MEDICAID Solicitation Change over Black Hills site to Medicare Rug rates. Submit proposals on MEDICARE Solicitation VA263-17-R-1093
Solicitation number: VA26317R1094
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

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VA263-17-R-1094 S02 NEBRASKA PRICING SCHEDULE - FINAL.xlsx

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File	Type	Posted
VA263-17-R-1094-0003004.docx	DOCX document	Aug 15, 2018
VA263-17-R-1094-0002000.docx	DOCX document	Jul 20, 2018
VA263-17-R-1094-0001000.docx	DOCX document	Jul 11, 2018
VA263-17-R-1094-002.docx	DOCX document	Jul 10, 2018
VA263-17-R-1094-007.docx	DOCX document	Jul 10, 2018
VA263-17-R-1094-005.xlsx	XLSX spreadsheet	Jul 10, 2018
VA263-17-R-1094-003.pdf	PDF	Jul 10, 2018
VA263-17-R-1094-010.xls	XLS spreadsheet	Jul 10, 2018
VA263-17-R-1094-009.docx	DOCX document	Jul 10, 2018
VA263-17-R-1094-004.pdf	PDF	Jul 10, 2018
VA263-17-R-1094-006.xlsx	XLSX spreadsheet	Jul 10, 2018
VA263-17-R-1094-011.docx	DOCX document	Jul 10, 2018
VA263-17-R-1094-001.docx	DOCX document	Jul 10, 2018
VA263-17-R-1094-000.docx	DOCX document	Mar 8, 2018

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Sheet1

NEBRASKA PRICE SCHEDULE

Levels of Care	Medicaid Rates	Total Add on ____%	Total Per Diem
PA1/101
PA2/102
PB1/103
PB2/104
RBH/105
PC1/110
PC2/111
PD1/112
PD2/113
PE1/114
PE2/115
BA1/120
BA2/121
BB1/122
BB2/123
IA1/130
IA2/131
IB1/132
IB2/133
CA1/140
CA2/141
CB1/142
CB2/143
CC1/144
CC2/145
SSA/150
SSB/151
SSC/152
RAA/160
RAB/161
RAC/162
RAD/163
SE1/170
SE2/171
SE3/172
STS/180

Sheet2

Sheet3

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